The Brava external tissue expander: is breast enlargement without surgery a reality?

Area of Science:

• Plastic Surgery
• Medical Devices
• Aesthetic Medicine

Background:

• Controlled trials confirm external breast tissue expanders (Brava) can achieve non-surgical breast enlargement.
• Patient and physician satisfaction with Brava results has been variable.
• This study critically evaluated clinical experience to identify factors influencing successful outcomes.

Purpose of the Study:

• To evaluate the efficacy and patient satisfaction of non-surgical breast enlargement using an external tissue expander.
• To identify factors associated with successful outcomes and patient satisfaction.

Main Methods:

• A cohort of 50 women used the Brava external breast tissue expander between May 2003 and September 2005.
• Volume measurements and standardized photographs were taken pre-treatment and post-treatment (up to 12 months).
• Patient satisfaction was assessed via questionnaire at the final visit.

Main Results:

• Forty women completed follow-up; 75% were satisfied or very satisfied with breast enlargement.
• Median volume increase was 155 cc, with usage of 11 hours/day for a median of 18.5 weeks.
• Factors associated with poor growth included lesser intensity of device wear and low body mass index.

Conclusions:

• Long-term breast enlargement without surgery is achievable with external tissue expanders.
• Increased device usage correlates with greater breast growth.
• Informed patient education regarding time and lifestyle commitment is crucial to manage expectations and prevent dissatisfaction.